Authorization Specialist

4 days ago


Greenfield IN USA, United States Hancock Regional Hospital Full time
Job Summary

The Authorization Specialist plays a critical role in the Network Navigation department, serving as a resource for both the Authorization Advocate and the patient. This position is responsible for resolving complex pre-certification, authorization, and referral needs. The Authorization Specialist will work with physicians, physician offices, insurance companies, and the Authorization Advocates to answer patient questions and resolve patient issues.

Key Responsibilities
  • Resolve complex pre-certification, authorization, and referral needs
  • Work with physicians, physician offices, insurance companies, and the Authorization Advocates to answer patient questions and resolve patient issues
  • Provide excellent customer service and communication skills
  • Maintain accurate and detailed records
  • Collaborate with the Authorization Advocates and other Specialists to achieve department goals
Requirements
  • RN license required
  • Successful completion of the CHAM (Certified Healthcare Access Manager) Certification course - NAHAM within 6 months of hire
  • Associate or bachelor's degree in nursing or a related field required
  • 2-3 years' experience with pre-cert, referrals, and authorization processes strongly preferred
  • Knowledge of medical office practices and procedures
  • Excellent written and verbal communication skills
  • Proficiency in Microsoft suite (Outlook, Word, Excel, PowerPoint) is preferred


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